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Table 1 Definition of indicators

From: Inadequate management of pneumonia among children in South Ethiopia: findings from descriptive study

Indicators

Metric

Definitions

Measurement method/sources

Categories measured

Supervision

Numerator: Number of health facilities that received at least one visit of routine supervision (excluding the follow-up visits to health workers shortly after their training that are part of IMNCI training), which included the observation of case management during the previous three/six months

Denominator: Number of health facilities surveyed.

Proportion of facilities received at least one supervisory visit that included the observation of case management during the previous six months for IMNCI trained staffs, and three months for iCCM trained health extension workers

Health workers questionnaire interview

 

Essential oral treatment for pneumonia

Numerator: Number of first-line oral treatments available the day of visit

Denominator: 2

Arithmetic mean of essential oral drugs recommended for the home treatment of pneumonia available at each facility the day of visit

Direct observation

Stocks

• Amoxicillin syrup/suspension

• Cotrimoxazole syrup/suspension

Injectable drugs for pre-referral treatment of pneumonia

Numerator: Number of injectable drugs for pre-referral treatment available the day of visit

Denominator: 4

Arithmetic mean of recommended injectable pre-referral treatment for children and young infants with severe classification needing immediate referral divided by four for IMNCI and divided by one for iCCM.

Direct observation

Stocks

• Ampicillin

• Chloramphenicol

• Gentamycin*

• Benzylpeniciline

Equipment and supplies for vaccine

Numerator: Number of health facilities that have the equipment and supplies to support full vaccination services on the day of survey

Denominator: Number of health facilities surveyed

Proportion of health facilities that have the equipment and supplies to provide full vaccination services on the day of survey

Direct observation Vaccination room and stocks

• Functioning refrigerator or cold chain

• Needles/syringes

Key vaccines

Numerator: Number of the recommended vaccines available the day of visit

Denominator: 5

Arithmetic mean of recommended vaccines available at each facility the days of visits

Direct observation Vaccination room and stocks

• BCG

• Polio

• DPT-HepB-Hib

• PCV

• Measles

Trained IMNCI

Numerator: Number of health facilities with at least 60% of health workers managing children who are trained in IMNCI

Denominator: Number of health facilities surveyed

Proportion of health facilities with at least 60% of health workers managing children trained in IMNCI

Head of facility questionnaire interview

 

iCCM trained health extension workers (HEW) density

Numerator: Number of HEWs who are trained and deployed (to serve in a specific target area)

Denominator: Number of children under five in target communities ÷ 1000

Number of CHWs trained and deployed for iCCM per 1000 children under 5 years of age in target areas

Head of facility questionnaire interview

 

Correct case management for severe pneumonia (knowledge)

Numerator: Number of health workers who respond to correct management for case scenario

Denominator: Number of health workers assessed

Proportion of health workers who gave correct response for the management of case scenario

Application of case scenario to health workers

 

All essential job aids and supplies for the management of pneumonia

Numerator: Number of health facilities with all the needed equipment and materials

Denominator: Number of health facilities surveyed

The proportion of health facilities that have all the needed equipment and materials available on the day of the survey.

Direct observation of outpatient department

• Respiratory timer

• Thermometer

• Syringe and needles

• IMNCI/iCCM chart booklet

• Mother’s counselling cards

Supervisory visits received

 

Mean (and range) of the number of supervisory visits received for IMNCI in the last six months and for iCCM in the last three months

Health worker questionnaire interview

 

Facility open

 

Mean (and range) for: days per week the facility is open

Health worker questionnaire interview

 

Child services

 

Mean (and range) for: days per week child health services are provided

Health worker questionnaire interview

 

Vaccination services

 

Mean (and range) for: days per week vaccination services are available

Health worker questionnaire interview

 

Time travel to nearest referral facility

 

Mean (and range) of the time required to get to the nearest referral facility

Health worker questionnaire interview

 

Case load

 

Median (and range) of the number of sick child visits during the previous month

Record review

 

IMNCI trained

Numerator: the total number of staff managing children trained in IMNCI

Denominator: the total number of staff assigned to the case management of children.

The proportion of staff trained in IMNCI actually present and managing children the day of visit

Head of facility questionnaire interview

 
  1. * for iCCM at Health post mean and range was computed based on only Gentamycin